Bronchobiliary Fistula Localized by Cholescintigraphy with Single-Photon Emission Computed Tomography

• Main Authors: Maddy Artunduaga, Niraj R Patel, Julie A Wendt, Elizabeth S Guy, Arun C Nachiappan
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2015-01-01
• Series: World Journal of Nuclear Medicine
• Subjects: Biliptysis; bronchobiliary fistula; cholescintigraphy; single-photon emission computed tomography
• Online Access: http://www.wjnm.org/article.asp?issn=1450-1147;year=2015;volume=14;issue=1;spage=60;epage=62;aulast=Artunduaga

Biliptysis is an important clinical feature to recognize as it is associated with bronchobiliary fistula, a rare entity. Bronchobiliary fistulas have been diagnosed with planar cholescintigraphy. However, cholescintigraphy with single-photon emission computed tomography (SPECT) can better spatially localize a bronchobiliary fistula as compared to planar cholescintigraphy alone, and is useful for preoperative planning if surgical treatment is required. Here, we present the case of a 23-year-old male who developed a bronchobiliary fistula in the setting of posttraumatic and postsurgical infection, which was diagnosed and localized by cholescintigraphy with SPECT.